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062-200-104
11 ,( 062-200-104 PERMIT#97-1293 DUARTE, Keith Bald Rock Rd., Berry Creek Ele for Well & Lot Development --'062-200-104 PERMIT#98-0663 DUARTE, •Keith 841 Bald Rock Rd., Berry Creek Cont: D & D Mobile 51�aIgb- Mobilehome Utilities '5-/0 ELECTRIC ao�� �ioo mN 3o-!)f/�)\\ GAS_ so COMPACTION TEST REQ SUPPORT STRUCTURE REQ XO 062-200-104 PERMIT#98-0664 DUARTE, Keith 841 Bald Rock Rd-., Berry Creek Cont: D & D Mobile Mobilehome Installation C�/Wz- 0 (0 a 000 -- / RESIDENTIAL 062-200-104 ^ PERMIT#98-0663 DUARTE, Keith 841 Bald Rock Rd., Berry Creek PERMIT NO. Cont: -D & D Mobile PERMIT EXPIF, Mobilehome Utilities a. CHECKED irNr BY SRA p" V-1 FIRE SPRINKLERS REQ. OWNER CONTR. ASSESSOR PARCEL LOCATION y. 0 CHECKED BY SRA FLOOD CERTIFICATE REQ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole OFFICE COPY Called PG&E -1 Address 6? ell Temp. Elec. Service) I �i �7 j Meter By. Dat Called PG&E ELECTRIC -4 Meter By Date Temp. Gas Service Called PG&E JOB FINALED (D Signature V OK 0 = Not OK • = NottRealdy MOBILE HOMES Date MOB HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSiz epthSpacing-ConnectorsSteel 2. SojkSjpecialMH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Location-Tesl-Fa l l -CAO -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Afg.-Bracing Ater tion -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures city; Location-Clearances-Dmd- p-Doncrete 6. Carports; Windows -Doors as; Location-TestiNr�a '' / A -IL / /Nat. S�a°tL k— G 7. Electric 7. Wel fiarance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses (TeDtility Clearance 9. Siding; Nailing-VeneerSh xo-Mesh 10. Root,, Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBI HOME INSTALLATION(Plans) OK except #'s Card B-1 Date Card B-1 Requirements- Setbacks Easements Card B-1 Date Card B-1 gs; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s H Test-Demand•VaheConnector 1. Setbacks -Easements jVfleefrtbity; MH Test-Crossovers-BreakersClearances 2. Soils; Compaction -Structure Stability . r ' , MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI i,fVaW-and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pod Lighting; 15 Volts-GFI p-ghd Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed IBSwrts-Type-Installation Cem 7. Elec.; Bonding; Metal w/B-Circulating Equip. -Heater xi�Insp.Sketch 8. Eke;.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit IA-fert of Occupancy 9. Flealth Department Approval 12. Permanent Foundation Only: Lfcense.Decal 10. Plumb.; Cir. TesFWater Supply Test Date Date ' „ZC,� Card 0-1 Date Card B-1 ��` Card B -W Date Card B-1 LWA MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSiz epthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Afg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing-VeneerSh xo-Mesh 10. Root,, Shthg-Roofing 11. Ext.; Steps -Doors -lendings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/B-Circulating Equip. -Heater 8. Eke;.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Flealth Department Approval 10. Plumb.; Cir. TesFWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 8w KEW 2�G- IZe�-C µr— ✓ = OK O =Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plaits) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Ring -Test -2 Way C/O -Sewer Test 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-MatedalSuppon4ns. 14. Girders -Sills -Anchor BoltsJoists4/ents-Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size B es & No. of Conductors Stapled 26. Romex 16talled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 14t_. " - . . - Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roff Brac -Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Pib., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85.Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (Rev. 12/96) CfaUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Californ& 95965 - Telephone (916) 538-754X�"4-6PM NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-200-104 ZONING U BUILDING PERMIT —77 OWNER DUARTE, KEITH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 631 W. MOUNTAIN RIDGE, LAKE,- ALMADOR 96137 CONTRACTOR'S NAME D & D MOBILE TELIJQ, E 3303 3L CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ESS BUILDINGADDIRy BALD ROCK ROAD, BERRY CREEK y� Ener Plan Checking Fee Energy 9 $ $ PERMIT FEE S23.00 LOT NO. - SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat.pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 11M 0 a I @20.00 PERMIT FEE $ 8U. UU ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos o v=ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�7 License Class (L 17 Lic. No. 3 / 5 4 OWNER -BUILDER DECLARATIONEx. I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING .OUDS. OR ADDNS. ( 8 ACC. eLDS. so 3.50FT. NEW CO ST MMUILCTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Occup. OUTLET OR FDRURES 20@''00 BAL @ .50 Ex. Occup. oEESSID.OE uT rs RA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE S7T. UT WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compenpa,tion insurance carrier and policy number are: Carrier Z9 -LI -P - Policy Number a 204 d (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the provisions of section 3700 of the Labor Code, I shall fose provisions. X Date / Signa wner ❑ Contractor ❑ Agen wMof_Ap�p_117ic�a_nt An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling\ Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT Al_ FEE $ 143.00 HAZ. D. FEES .I FLOOD _ DF CAR pp HD UE This permit is hereby issued under the applicable provisions of the ' County ' ode and/or Resolutions to do work Indic ed o f r w i%h fees have been paid. By Date S / -fe PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11M. -Vy lit `=„+c: . -- ...� T. —• 1' ° ,. D[`iT,�ifc¢,I.T- y ' , r i�f'i' ll�%r74:Y '+S' ;�, 4�T.+'F j:+a7` ry.,rrr.+ COUNTY 04F-; ;TE DEPARTMENT OFD „� yOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE,- ORO, LE"a 6RNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: A ,9_ E- ASSESSOR PARCEL ER: Proposed Building Use: /Ja 41[ j Building Inspector: Date: — At time of permit application, I was advised the following data must be submitted prior to permit processing an or issuance: Date Received By ❑ 1. All items have been submitted.------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 0 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ _., ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -- -- --------------- - ---- ---------------------------- California Department of Forestry plan�ppro v fees. - - _---��---------------------- ❑. Flood elevation certificate. ----------------------- ------------------------------------------------------------ @4 sanitation and plot plan approval Health Department. ------------------------------------------- ���✓✓✓❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑,J 8. Contact Land Development about ❑ Improvements, ElDrainage, 11Legal Parcel. ----------------------- 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- T ❑ 20..Pre-inspection for required Request to Building Inspector on ; (Date) 021. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- \ i 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- Letter of signature authorization. -------------------------------------------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement.-----------=--------------------------------------� 2 Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------=------------------------------------- E128. =;-------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ❑ 3 0. Other:------- Wh you issue the permit,process as follows ❑ Mail to owner, ❑Mail to contractor. 2 ��QQ �� t Telephone S3 30 and hold for pickup at D�CJ ❑Deliver with inspector. �,7 Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index perinit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: 614y Date: Yellow Copy - Department of Development Services, Building Division. P'r E.H. USE N '� - Plot Plan Attache,6y Floor Plan Attached Sent to B.D.Y--- / :z_l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: S Vage Disposal Clearance for �— �w ling. Other Hold final for: Final clearance O.K. for: NOTE: r /) Environmental alth Specialist Water Supply: Public Private Well q Date il r ALL STRUCTURES AND EQUIPMENT OVERHANGS SHALL BE CLEAR OF ALL I A SET BACK OF 3V FT. FROM Th' 3D FT, FROM THE REAR PROPERT = FT. FROM THE ROAD CENTERLI CLEAR OF STRUCTURES AND EOUIPM FOR A 2 FT. SAVE OVERHANG.' A&ROVED ELECTRICAL, MECHANICAL, ANC SEMENTS. Butte County t:nvironmental Health SIDE AND SHALLCOMPLY WITH CURRE� LINES AND OF NEC,'UMC AND UPC. SHALL BE NOTE: All Materials & Workmanship JT EXCEPT Accordance with Recognized Good Pr of a Quality Prescribed for the Specifl ' �i�nstfilf�6 � NCLUDING ELECTRICAL, MECHANICAL, ANC SEMENTS. CONSTRUCTION ( NOT PLAN + SIDE AND SHALLCOMPLY WITH CURRE� LINES AND OF NEC,'UMC AND UPC. SHALL BE NOTE: All Materials & Workmanship JT EXCEPT Accordance with Recognized Good Pr of a Quality Prescribed for the Specifl In the Uniform Building, Plumbing & Codes an lectrical Cod V lifP 04 4FS --, /0�. REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions ner attachedst,,,,, Signature Data V �-x)A This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any cl;anges or alterations on same withnut written permission from thzi Department of Public Works, County of Butte. The attached Fire Safe requirements must be compiWK, as specified and approved by C.D.F. PLUMBING :HECKED ) r . EDITION Shall Be In ctices and d use 2A)a9' 1-1 BUTTE (iOUNTY )BUILDING DEPARTMENT -APPROVED ED C:C�1'Y i •t l� CDF FIRE SAFE REQUIREMENTS 62 -'2-0-(y\4 AP# ,1,'-D � 1 3 --rz , r? PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. . V] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [�] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app..,rte-aant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�} 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�1 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [� 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [x] 1273.05 Turnarounds. If required, will have a minimum turning 11 radius of 40 feet from the center of the road. [� 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 1 feet long with a minimum 25 foot taper on each end. ¢�] 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. BUTTE COUNTY Page 1 of .3-, BUILDING DEI"A T&RIENT �- AP # PERMIT # NA14E ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than • the roadway it serves. 2.. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including ; chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction �,r f_:zal inspection of a building permit. Pf Page 2 of 3 �. r IF- BUIDING 5 ft �- 'i `_ �f D a �2--20--IC4 AP # q8-0((3 PERMIT # Other Requirements [ ] 'If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback, - Class A or B roof with enclosed eaves - Interior automatic spri_ikler system per NFPA 13D - Glass area not to exceed "10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [ l Date Signature1M COUNTY Page 3 of 3 SUI P, r.IEIT AV 01` t, - irL r� J AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 07 -May -1998 1998-0018116 Has not been compared with original Butte COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such -irwrivenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SES ATTA�I-�F� L�[rA�L 17�SGR-� PT�O►J Date: �J 1 cl PROPERTY OWNERS. An (c.n� State of California. ) County of On G before,m %,L,b l c personally appeared 1�� 11�� . t)ut(t r-tc =CA- At -W l)I, 0-r-fc- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the persons) acted, WITNES band and official seal RACHEL COX U Comm #1143719 0 a ~ NOTARY PUBLIC CA61P©RNI, Signature rC Seal: aJTTG COUNTY �s r"Omm; yup. JWAA 27 9.001 A.P.# 0(y - DOC) o� 92--3244.1 DEED FROM HERMAN BANGERT, A SINGLE MAN, GRANTOR, TO HERMAN BANGERT, AS TRUSTEE OF THE HERMAN BANGERT TRUST (U/A DTD 4/9/921 GRANTEE EXHIBIT A PROPERTY DESCRIPTION Parcel 1: A portion of the southeast quarter of the northwest quarter and of the northeast quarter of the southwest quarter of Section 34, Township 21 North, Range 5 East, M. D. B. & M. Beginning at a point on the northerly line of the southeast quarter of the northwest quarter, said point being 100 feet easterly of the northwest corner of said southeast quarter of the northwest quarter, thence from the point of beginning easterly along the northern line of said southeast quarter of the northwest quarter 487 feet, thence southerly parallel to the north and south centerline of said section 34 to a point in the center line of Bald Rock Road, said point being located in the northeast quarter of the southwest quarter of Section 34 thence northwesterly along the center line of Bald Rock Road to a point located 100 feet easterly'of the west line of the southeast quarter of the northwest quarter, said point also being the southeasterly corner of property deeded by Jean A. Mills to Clennie 0. and Martha T. Berry h/w deed recorded 9/22/48, instrument /13798, thence northerly parallel to 100 feet easterly of the westerly line of the southeast quarter of the northwest quarter and along the easterly line of the property deeded by Mills to Berry to the north line of said. southeast quarter of the northwesc_c uarter and the point of beginning. Consisting of 15 acres, less 10 acres deeded to Herman Bangers ley Mrs. Jean A. Mills by deed recorded 12/7/53, Fee 1. ��•'% CLL /� /��r . The we t 13 acres of that part of the southeast quarter of the northwest quarter of Section 34, Township 21 North, Range 5 East, M. D. B. & M., that lies north of the centerline of the Bald Rock Road, excepting therefrom the west 3 acres heretofore deeded to Clennie 0. Berry and Martha Berry and recorded in book 483 at page 395, Official Records of Butte County, California, and containing a net of 10 acres. 8/W01000W2062802 2. 06/20/02 END C)'- DOCUMENT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: �A-A0 -ia� PERMIT NO.: 90<2-- 0&4 3 Owner's: Name: ' Owners: Address: n // Mobilehome % A/1" rj Year of Manufacturer Q 6 u p QJl t' Manufacture: Serial number or V.I.N. (A ,'L g Z W F L Insignia or HUD number: c?,&A-214n Official approving installation: IA� If the mobilehome is moved or relocated, the nrobilehome installation acceptance shall become invalid. This form shall not be used when the mobileho is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg:, Gold -Assessor i K., DEPARTMENT OF HOUSING AND COAAMuNiTy DEVELOPMENT DMSION OF CODES AND STANDARDS P.O. BOX 1407 SACRAMENTO, CA 95812-1407 (916) 255-2501 AcRAqu (To be cV,4v ompleted by the mobilehome installation permittee or their representative) I STA EnN MoL;Le /vgrALLATinn/ (P*b" ftow n► hereby certify under penalty at perjury and in accordance with the provisions of the California Code of Regulations, Title 25, Division 1, Chapter Section 1326 that the tiedown system installed at Llyn OK Ral. err reP OA*"o 0-01t IM4 Mill caw was not modified prior to or during the irtstatlation, and was installed- in accordance with the bedown marwfacturers ins taliadon irauuciiona or in accordance with plans and spa cdications d an engineered dedown system. (slv•► (o•w Nota to ttstaierr pursuant to the CCA, T25, Section 1325(d) upon corrspletion d the installation d the home, the horror rr►arac Curses k -- tor iladon Instruc t, the approved plot purr, a copy d the pians and spec>(icatioru for an engineered tie down system if used and a copy d any maintenance requirements for the dedown system stmt be placed within the home for retention by the homeowner. uepartment use Permit . District Representative HC04U60.2t (Rw. SIM lfi#•y...lY4 fFi r_i .-.�-i�.[`T��'Z�- �'i7�if�...nM+t.'Yy�k/T�-1,,�-•��—i��-• yY�•.--may X,-'T^'�'^ T.'•^ r•�T +V s=+f+i +�; ';� , • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 4; OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at t the above address and should be corrected. Please notify this office when correction of work t is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' - -- - -4: ri4 •�sKj�. . mf ^ Date AQ 99 Inspector x REV 10/9 �_.; * �� :' ,.. � ,-. ••r.-�' .,.:..-a��.....'!�^ .,baw"�'51*�i�rl+",'= �.-.strn�•�,^M.: vys i<.T^-� .r'^�".".rw'"��^f�'4+5�"" x 4 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 r 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE DL,a 4 OWNER i PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' i�rJC ,• f � fS � lit �a/•�w .t.v <� } Date inspector l� 5:5 e /% %3 REV 110192 A.P.# OWNER DLA 'G PERMIT # MH UTIL. CLEARANCE DATEfj INSPECTOR �.Cl-Sy ell ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO �a jOva�t 1 z So X .� 062-200-104 PERMIT#98-0664 DUARTE, Keith 841 Bald'Rock Rd'. Berry Creek Cont: D & D Mobile Mobilehome Installation s/�s f Qp ti COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION `*w ,#7. County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 • PERMITyo. (Rev. 12/96) APPLICATION AND PERMIT `�' ASSESSOR PARCEL NUMBER 062-200-104 ZONING U BUILDING PERMIT OWNER DUARTBY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 631 W. 110tWTAIN RIDGE, I AKE AMOR, 96137 CONTRACTOR'S NAME TAORTT P TELEPHONE 532-3303 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 213. 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � Energy Plan Checking Fee $ 40 $ 4300 PERMIT FEE $ • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0Installation ❑ Other ❑ Describe Work: TI�(f 43 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonoaLss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu I force and effect. ,, - / ,/ License Class % LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( TO I000A 46.00 NEW CONST. DWELLING UP. SO WEo OR ADDNS. ( 8 ACC. BLD S. 3.50FT, UN NNOONN-HESID. BRANCH IRCUITS MULTI -OUTLET @7.50 8 SINGLE OUTLET CIR. POWER APPARATUS OUTLET OR FIXTURES * Ex. Occup. AL so Ex. Occup. ourMAP EESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for'the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 7 n r + L. Policy Number (Y z 7 C;(i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X - — --- - - Date `� L � Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent/� An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE E $ 143.00 HAZ. 'D: FE IMP FLOOD _ cDF ✓ PARCEL V pD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By /-�` Date PERMIT EXPIRES ON S I77 /f1 Tpe'. 1 Receipt No. 1 r i- 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/,; D P�FRMy) T yo, (Rev. 12'/96) APPLICATION AND PERMIT % (� ( ASSESSOR PARCEL NUMBER 062-200-104 ZONING U BUILDING PERMIT 2/ - OWNER DUARTE, KEITH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 631 W. MOUNTAIN RIDGE, LAKE ALAMOR, - 96137 - CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 2:3' UU ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkiri Fee $ BUILDINGADDRESS Vil BAID ROCK ROAD, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT No.SUBONISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities0 Installation ❑ Other ❑ Describe Work: MI:I� / (J/ (%✓ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20 A I.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fuJI force and effect. iPOWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. SO 3.5,s NON-RESNEWCOrIDT FIANCTI-OU CIRCUITS @7,50 APPARATUS 8 SINGLE OUTLET CI R. E X. OCCU OUTLET OR FIXTURE 24 1.00 BA @ Q .SO Ex. Occup. OUTLETS RESIDOFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ✓ki +,t— Policy Number j y 3 -) az;, b (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' comensation provisions of section 3700 of the Labor Code, I shall ������visions. X Date _ ! Signature of Applicant - ❑ Owner ❑ Contractor ❑ Ad An OSHA permit is required for excavations over 5'0" deep and emolltion or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. .._ . FE 1 P FLOOD cDf� I�/ PARC PD HD IssuE This permit is hereby issued under County of the Butte Coun Code and/or in at d a ve f which fees have ' By �'�^ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D to g 7 /� 9 _ L 6 I Dale Receipt No. C�l 3 ('- C^ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'W"' qtr r- ' ' '.'-_ Al •'0 Y OF BUTTE DEPARTMENT" EVELOPMENT SERVICES - BUILDING DIVISION 7 "COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET D / OWNER: U 149:1 a ASSESSOR PARCEL 1,ER: Proposed Building Use: M J4 Building Inspector: y Date: At time of permit application, I was advised the following data m submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- . ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 0 3. Complete plans, 3/4 sets, signed by the preparer of plans.--- --'"-=--------t,---------------------------------- El 4. Engineered plans, 3/4 sets, with wet signature on plans: All engin a ng ust be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------- 09. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 0. Fees of $ --------------------- pact fees fees as shown on the attached schedule.�1-'£— d --r--------------------------- ❑ 1 .California Department of For plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). -- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 1122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------- E124. -------------------------------=----- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 'ter of intent on building use. ----------------------------------------------------------------------------------- Manufactured Home utility clearance. --------------------------------------------------------------------------- 8. xisting violations and/or expired permits. ---------------------------------------------------------------------- ❑29. E1433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- 0%,,, ------ (Date) ❑26 % you issue the ermit, process as follows ❑ Mail to owner, ❑Mail ocoactor. i/UTelephone 3a- 33-0 Sand hold for pickup at �,office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution. , Date: By: Copy of plans sent 11 Health Department, ❑ Fire Department, ❑ Other: l� Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, qmail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ' ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: p Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Q Yellow Copy - Department of Development Services, Building Division. y I '`� �iutte L'ouni A N D O F NAT U RA L W EA LT H A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 RE: Building Permit # Expiration Date: A.P. # ject-, our records indicate that.your )ve date and your permit falls into the not completed. Permit may be renewed ding permit fee (plus a $20.00 filing will extend the building permit for :he original expiration date. Should .+ • ty� z c-• �. , lies y -.r: • . �. � T�pr z. • y' -�• �_�.. �...., �. .� ,y -• :• -, -i-•• i �,�•�.,,r.w `ti,.tr• �� �r --•--v Mr+Tr-' r-a,-�. ,. BUTTE COUN!rxSCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District . �� V ( LL- Building Department No. A.P. Number�Q('� (y Jurisdiction: City Ei2r County Property Owner 1 T Property Location/Address `7Ak h eo6,<< /C✓n Subdivision Lot No. Residential Development U No of Living Mobile Home Addition • Units Installation Commercial/Industrial New Addition Building Department Representative (Floor Plans reviewed by School District Pefsonnel) ct I School Di rtrnAddress) ro. Y cW (City) Sq. Footage (Group R) Sq. Footage Roofed Areas) Date that � ..t -L (Applicant; t7 (Phone u (ate)' (Zip Code) has complied with the requirements of Resolution No. 40 by payment of $ / tP• representing ( square feet. B 292 $ ULL MITIGAT s School District Fle-Ores7efltative � Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school. fees to,fully mitigate its impact on the school district's schools. White (applicant), Yellow (building_ department);'Pink (school district) feeform.xls (2/97)dmm Mobilehome Manufacturer Manufacture Year: If other than single wide, furnish Setup Model Number: a 4 (,3 .M Width: 13"4 (ft.) Length: C (ft.) Tagalong or Expando S' (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[# Other: SUPPORTS: Concrete block[;]- Other:_ Provide Tie Down Specifications for all Mobilehomes: C&412A t, f(C95 Pier Footings Sizes and Location SINGLE WIDE MULTI-wIDE Line 1 Line 2 Line 1 Line 2 ............................................................................. Main Beams Line2..................................:..................................................:........... ine 2 Line 1 Line 1 e2 ' airt-I3 ......... ............................... .......................................... .............. Line 2 Line 1 >ine S Tag or 'P. e' ine 4 inc 1 J.. Linc 1 Piers: Size minimum: a y1x 'A 'V Spacing maximum: 0 From ends -maximum: o `' Linc 2 Pi;crs:P , Size minimum: [f. z ] x Spacing maximum:. From ends -maximum: "z ` a ` Linc 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Linc 1 Openings Size minimum: [ 12,. ] x [ z�]. Each side of openings with width over: I 't�- ` o Linc 4 Piers: Size minimum: [ ] c ] Spacing maximum: V .11 From ends -maximum: A` M H.I.-2 1. Owner's Name: / 1 Y- 2. Assessor's Parcel Number:' 3. Installer's Name: 4. Is the site currently under permit? Yes[,].. No[ ] Permit No. S. Is the site an existing site? Yes[.,j. No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? bU Amperes. 7. What is.the mobilehome site circuit breaker rating? n Amperes. 8. What is the electrical rating of the mobilehome site? / Cx�> Amperes 9. Is the main service remote from the mobilehome site? Yes[A ] No[ ] If it is, what is the rating? �Db Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - Type of gas service at mobilehome site: Natural[, Propane] None[ ] 12. Size of as pipe at the mobilehome site from the meter or tank: j/� inches. I 13. What is the gas pipe length from the meter or tank to the mobilehome? Lo (ft.). U 14. What is the mobilehome gas demand? B.T.U.*' " - *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE, OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION . May 1995 8.5 N O N CD N N N C], LLJ. 3 00 m; I co 0 I a. [ vt� . l� ICO I I +c.Rw.L.c I I I Q +i '-Ar IIti�sA',�'•O'' il'•or ti n>i. fbw A.a Ta ba blit ► maws n+nts mw tout ale Imp, rwvA Wf ft ami. d _ _ — LwI��•RU�e-1 � 1 1 � ff T 1N N I' II to�Pr 1 nq' G I.IAIJS.• W MY U e safe-rs�ro - cs LU � OCT 2 6 9 O9� WINCOWIDOOR SCHEOULE � sit=.atu,►„o.f aui v[9+t Ne. ata oasam►Taux vert lEOEHp: �j etaatcT.cv totica I' II to�Pr 1 nq' G I.IAIJS.• W MY WINCOWIDOOR SCHEOULE sit=.atu,►„o.f aui v[9+t Ne. ata oasam►Taux vert lEOEHp: �j etaatcT.cv totica m rweone O1vr"mFtIEI.' ooLANOMIN&�rtcaTT.a 94T u —aw wwti OfiKLAN f9%"x bL=O'DOW DF 1=V r Ip u.wntatLuv p mtRv.e.T6J WESfP6MLC LTA�pwrtwu 7ra7 .'F trutrw+tooaRa,na`fawrrwwontu[ Lbtl�M ..11 •sr..e a r ,'" - ^t. J •... sj. , ,•, 'Si'+, �E .jE•:•• >: . -_•" iii" •s"' - Y• � ::tet... � >r:�-' Vii, ,.� eel� y�"�iLll�li�i�L�l�.if�f�"i..'Cd*�w+v�4;��'+�a�.•�"�Ikf'�`N: ;it�ii�zsv�"�i�t, ���d3�a�1)iB�}i'Sf�_v. yF'wtlk.- � "�'' •'+t7b'�;k`.`.�".:.. .. ,. �'' "! : � 1 \�'.y.? x►," :nlJ;, q.A.j -"y ..=i.,4 .���-: ;+. a. i-, .F, MAIN BEAM WITH PERIMETER FOOTING CONFIGURATIONS AND SPACING m SINGLE, DOUBLE, OR TRIPLE SECTIONS 1 ❑ o ❑ ❑ ❑ ❑, ❑ ❑ ❑ SECTION I_sPA.,IT _— •A- VARIES-�-- __,♦__ SEE TABLE f•--i--r--�--' = I SECTION .B. --+---■---}---■---✓----■---i---.f_-6c-0, SECTION. C. I❑❑ 1 ❑ ❑' ❑ d 01 These tables determine the footing pad spacing and footing configuration along the main beams and perimeter of the section(s). Refer to page 15 for footing pad configuration details. Review the tables that indicate the footing type you are going to use for main beams and perimeter piers. Main beam footing spacing tables acceptable for roof live load 40 psf maximum. 8 MAIN BEAM FOOTINGS MAIN BEAM FOOTING CONFIGURATION O PERIMETER FOOTINGS AND SPACING PERIMETER FOOTING CONFIGURATION AND SPACING PROCEDURE: 1. DETERMINE THE DESIGN ROOF LIVE LOAD OF THE HOME. 2. DETERMINE THE SOIL BEARING CAPACITY. 3. FOLLOWING THAT LINE ACROSS THE TABLE DETERMINES TYPE OF FOOTING CONFIGURATION AND SPACING. 4. FOOTING PLACEMENT TO START AT NO MORE THAN ONE FOOT (1'-0" TO EDGE OF PIER) FROM EACH CORNER OF THE HOME. PERIMETER FOOTING CONFIGURATION AND SPACING v J a Dbl. Pad Footing Triple Pad Footing Two Dbl Pad Ftng. FOOTING CONFIGURATIONS _ 8' 10" 12" 0" 10" 11 8" 10" 12' 1000 c C 16" x 16" 8" x 16" 2000 0 8' 10' 10' 8' 11' 14' 8' 1 11' 14' a 8' 11' 14' 8' 11' 14' g — Concrete Concrete 2 x 12 x 24" g 'a ¢ in Pad Pad Wood Pad a [20090 8' e' 8' F� hlc �l l; , Gr8'>h �l l( kl Iii# +ti8'11ic p14�1, N 20 1000 SINGLE DOUBLE SINGLE 6'-0- 1000 DOUBLE TRIPLE DOUBLE 20 1500 SINGLE DOUBLE SINGLE 8'-0" 2000 SINGLE DOUBLE SINGLE 1000 DOUBLE TRIPLE DOUBLE 30 1500 SINGLE DOUBLE SINGLE 8'.0- 2000 SINGLE DOUBLE SINGLE 1000 DOUBLE WA DOUBLE 40 1500 DOUBLE TRIPLE DOUBLE 8'-0- 2000 SINGLE DOUBLE SINGLE PROCEDURE: 1. DETERMINE THE SOIL BEARING CAPACITY. 2. FOLLOWING THAT LINE ACROSS THE TABLE, AND BASED ON THE MAIN BEAM SIZE DETERMINE THE FOOTING CONFIGURATION AND SPACING. 3. FOOTING PLACEMENT TO START AT NO MORE THAN ONE FOOT (1'-0" TO EDGE OF PIER) FROM THE ENDS OF BOTH MAIN BEAMS. 8" X 16" X 4" CONCRETE FOOTINGS V m y U a MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) Dbl. Pad Footing Triple Pad Footing Two Dbl Pad Ftng. Main Beam Size Main Beam Size Main Beam Size in 8' 10" 12" 0" 10" 11 8" 10" 12' 1000 5' 1 S'S' 7' T 7' 8' 11' 14' 1500 8' 8' 8' 11' 12' 8' 11' i 4' 2000 0 8' 10' 10' 8' 11' 14' 8' 1 11' 14' TIEDOWN STRAP SPACING PROCEDURE: 1. OVER THE LENGTH OF THE HOME, FIND THE FURTHEST DISTANCE THE BOTTOM OF THE MAIN BEAM IS FROM THE GROUND. 2. MEASURE THAT DISTANCE AND LOCATE THAT HEIGHT IN THE TABLE. 3. FOLLOWING THAT LINE ACROSS TO THE APPROPRIATE WIND ZONE DETERMINES THE STRAP SPACING. 4. THE INITIAL STRAP LOCATION FROM FRONT OR REAR OF HOME MAY BE NO MORE THAN TWO FEET (2'-0") MAXIMUM. MAXIMUM TIEDOWN STRAP SPACING 16" X 16" X 4" CONCRETE FOOTINGS U W N MAXIMUM MAIN BEAM FOOTING SPACING (in Feet) Sgl. Pad Footing Dbl. Pad Footing Two Dbl Pad Ftng. U = Main Beam Size Main Beam Size Main Beam Size U) 8" 8' 10" 12" 8" 10' 72" 1000 RO-12" 5'5' 810' 8' 11' 14' 1500 8' ' 8' 11' 14'8'0' 19" to 36" 8' 11' 14' 8' 11' 14' 6'-6" 5'-6" 2 X 12 X 24" WOOD FOOTINGS W CLN MAXIMUM MAIN BEAM FOOTING SPACING (in Feet) Sgl. Pad Footing Dbl. Pad Footing Triple Pad Footing V a Main Beam Size Main Beam Size Main Beam Size t/7 8" Ir 10" 12" _ 8" 1_1Q T,121 ; r8; Z4O : 12" 5'-0" 5' 5',5' F' 16, 1,1' + !�B�C 111; 14' [20090 8' e' 8' F� hlc �l l; , Gr8'>h �l l( kl Iii# +ti8'11ic p14�1, TIEDOWN STRAP SPACING PROCEDURE: 1. OVER THE LENGTH OF THE HOME, FIND THE FURTHEST DISTANCE THE BOTTOM OF THE MAIN BEAM IS FROM THE GROUND. 2. MEASURE THAT DISTANCE AND LOCATE THAT HEIGHT IN THE TABLE. 3. FOLLOWING THAT LINE ACROSS TO THE APPROPRIATE WIND ZONE DETERMINES THE STRAP SPACING. 4. THE INITIAL STRAP LOCATION FROM FRONT OR REAR OF HOME MAY BE NO MORE THAN TWO FEET (2'-0") MAXIMUM. MAXIMUM TIEDOWN STRAP SPACING Heightfrom ground to to bottom of main beam (inches) WIND ZONE Diagonal Strap Angle Min. I Max. 12" to 18" 14'-6" 5'-6" 5'-6" 320 340 19" to 36" 10'-6" 6'-6" 5'-6" 340 440 37" to 48" 9'-0" 6'-6" 5'-6" 440 470 49" to 80" 6'-6" 5'-0" 4'-0" 470 59- 26 1 Ca Ca 1 8 1 1 6 AND WHEN RECORDED MAIL TO: Recorded Official I REC FEE 10.00 I CONFORM .00 Count BUTTE COUNTY BUILDING DIVISION ' tteOf t I 7 COUNTY CENTER DRIVE CAtIDACE GRUBBS I OROVILLE CA 95965 I I MaureenI 09:06AM 07 -May -1998 Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT 2� FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such ,ir:onvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE, LE -6, -At- 6 Sc.�i PT1 v ►tel Date: I cl PROPERTY OWNERS: e-( 'k A, aI) u -a ---t+� State of California ) County of �� ) On 2iI befo pabi,c personally appeared • �,1Q 1-'�� ` ,'N- �t Vl� Q� personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacfty(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the persons) acted, xecuted-the-instrument. -- - WITNES hand and official seal. r ORWH'.EOXMON(G)TARY Comm #1143719 PUBLIC CALIPG A NIA0 Signature Seal: BUTTE NTY ( aMr4tuo JUMO a7 8991 A.P.# ©(D D - aQ0 i O_q NOTE TO RECORDER: DO NOT RECORD THIS SIDE Instructions for recording Agricultural Statement of Acknowledgment: A.A. -1 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space Is required).- 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive,'Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) DEED FROM HERMAN BANGERT, A SINGLE MAN, GRANTOR, TO HERMAN BANGERT, AS TRUSTEE OF THE HERMAN BANGERT TRUST (U/A DTD 4/9/92). GRANTEE EXHIBIT A PROPERTY DESCRIPTION Parcel 1: A portion of the southeast quarter of the northwest quarter and of the northeast quarter of the southwest quarter of Section 34, Township 21 North, Range 5 East, M. D. B. & M.. Beginning at a point on the northerly line of the southeast quarter of the northwest quarter, said point being 100 feet easterly of the northwest corner of said southeast quarter of the northwest quarter, thence from the point of beginning easterly along the northern line of said southeast quarter of the northwest quarter 487 feet, thence southerly parallel to the north and south centerline of said section 34 to a point in the center line of Bald Rock Road, said point being located in the northeast quarter of the southwest quarter of Section 34 thence northwesterly along the center line of Bald Rock Road to a point located 100 feet easterly of the west line of the southeast quarter of the northwest quarter, said point also being the southeasterly corner of property deeded by Jean A. Mills to Clennie 0. and Martha T. Berry h/w deed recorded 9/22/48, instrument #3798, thence northerly parallel to 100 feet easterly of the westerly line of the southeast quarter of the northwest quarter and along the easterly line of the property deeded by Mills to Berry to the north line of said southeast quarter of the northwest quarter and the point of beginning. Consisting of 15 acres, less 10 acres dcedeci to Herman Banbert by Mrs. Jean A. Mills by deed recorded 12/7/53, Feek Parcel 2: The west 13 acres of that part of the southeast quarter of the northwest quarter of Section 34, Township 21 North, Range 5 East, M. D. B. & M., that lies north. of the centerline of the Bald Rock Road, excepting therefrom the west 3 acres heretofore deeded to Clennie 0. Berry and Martha Berry and recorded in book 483 at page 395, Official Records of Butte County, California, and containing' a net of 10 acres. BANG 10091063902 2, SND Oo06/29/92r DocUM.EN� LAND DEVELOPMENT BUILDING '' - '+ PERMIT CLEARANCE Bw7ang Permit No. OWNERS l� , A.P. NAME: -,,,Q,, I a �-4 } 7"1 P� � NUMBER:,6 2 -L?0 l/D�j VRINT LAST NAME RBST COUNTY ZONING DESIGNATION: FLOOD ZONE: x FLOOD MAP: Z S70 13 APPROVED: CONDITIONALLY APPROVED: LI/ RESOLVE PROBLEMS PRIOR TO APPROVAL PARCEL CREATION BY DEEDS - X OR MAP DEED INFORMATION: DATE OF CREATION: PA10IL 'rd I9 DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: .YES -NO COMMENTS/CONDITIONS: Nl 6Azo 12r,*0 G.193" AC_ ooT or, 6 2-&j- Of MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH -APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. V/1. Maintain a'50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Maintain a 100 ft. leachfield setback from all existing wells. _ 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 16. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. _ 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of S as stated in the Oroville Area Traffic Mitigation Fee Agreement. Psyment to Akin to the PhV ii4'DN&kn _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. - _ 15. Deer Mitigation fees are to be paid, if such fees;have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20.- 21. 22. 23 2.4. 25. AIO 1N3WdO13A30 ON 311(13 10 A1Nf100 9661 £ 1 8VW C13AI333H LD 9195 - CAWPSIVORMSMOLDGPERM.CLR ? . i ~ _-Z t F 062-200-104 PERMIT#97-1293 DUARTE, Keith Bald Rock Rd., Berry,Creek Ele for Well & Lot Development 6 -ate q� OFFICE. COPY Address M ewer.• - ELECT IC Meter By Date_ a� 062-200-104 PERMIT#97-1293 DUARTE, Keith Bald Rock Rd., Berry,Creek Ele for Well & Lot Development 6 -ate q� OFFICE. COPY Address M ewer.• - ELECT IC Meter By Date_ �.� �� .�..�.�. ;. - . - .- -tom. _. -ten- �...-w�► "Flip w- -1 - COUNTY - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California'95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.1 6)- APPLICATION AND PERMIT �d ASSESSOR PARCEL NUMBER 062-2W-104 ZONING BUILDING PERMIT OWNER1TH DUARTE q: TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 631 W.MOUNTAIN RIDGE LAKE A1.AMAi496137 , CONTRACTOR'S NAME„M�, OWNER R TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER PONE f Fireplace LENDER'S MAILING ADDRESS + Total Valuation $ ARCHITECT OR ENGINEER NONE NO. f —Filing FEB $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Plan Checking Fee $ BUILDING ADDRESSIlAID ROCK RD I' Energy Plan Checking Fee $ AWL $ 40 BERRY CREEK PERMI EE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee -20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other WF'Ij. R SPECIFY F Each Trap 7.00” Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK 'w New ❑ Addition ❑ Remodel ❑ Utilities S Installation ❑ Other ❑ Describe Work: "t-ECTRIC FOR FUTURE 10T DEVEO AND WM, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE $ j ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( zoon os LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)1�of, Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS A License Class +, _,-Lic. No.' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale: ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. i ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION ► 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required, by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( a ACc. BLDs. so 3.5¢Fr: NEW CONST. -0 LET NON gES10. 1 @7.50 a SINGLE R AE CIR, Ex. Occup. OUTLET OR FIXTURES p BqL Q `00 Ex. Occup. ouiLELNS tDrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE T PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th a provisions. X_[[� _ ' Date _�"� Signature of -Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required f r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D FEES IMP FLOOD CDF PA�i(3EL PD Y HD ISSN r This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have / By '"r PERMIT EXPIRES ON In: the applicable provisions Resolutions to do work been paid. iDate Date ReceiptNo. - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75412 �RMITO, 7L- (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-200-104 ZONING BUILDING PERMIT OWNER KEITH DUARTE TELEPHONE SQ. FT. OCC. BUILDING VA UA ION OWNER'S MAILING ADDRESS 631 W.MOUNTAIN RIDGE LAKE ALAMANOR96137 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ' ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS BALD ROCK RD Energy Plan Checking Fee $ BERRY CREEK $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other WIT SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IN Installation ❑ Other ❑ Describe Work: ELECTRIC FOR FUTURE LOT DEVEOPMENT AND WELL Gas piping system t- 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 M 000 OR LESS Main Service zoo, OR LESS 23.00 93 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ADC. BUDS. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ANC C 18 Cu I TS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDCTURES BPL Q'.50 Ex. Occup. OUTLEEDTs A IEso)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 9 122 C)o PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th a pro 'sions. X '!� X11 t.,� Date -� -- � � Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required f r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TO L FEE $ HAZ. D. FEES IMP FLOOD CDF PAR PD HD ISS This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Dat Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i r�rt1''1, ry_�Qa..� n.:rc_�"ti'T+"+^�.:�}f'i.��;�;r;`•`�.T+:'J�"'1f'Tj�1�7�'t��!(F-"�'..--g'r�.y���.-^�•�rr�y''�-i..,r"`...,,,,Z.�xi� �;lt'-("7=„y'*^.'��y"...ti_•' y., 'OUNTY OF BUTTE DEPARTMENT OF DENEs1�OPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIILE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 3 PERMIT APPLICATION DATA SHEET OWNER: ei,4.,16,,de,ASSESSOR PARCEL Proposed,Building Use:l- Building Inspector: • Date: At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans: =---------------------------------------------------- �: ❑4 Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- `-1 'D 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- Q 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $-------------------------------------------------------------------------------------' ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Ell 3. -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking:-------------------�------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. croachment Permit for dri ewa constructio a ro a rior to occupancy) ---------- re-inspection for L ? (G � f i e.- �Ul/ P / equired. Request to Building Inspector o I 13 - (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------------- - ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letterof signature auth nzation.---------- ---------------------------------------------------------------------- ❑25. Recoril$d,copy of Agricultural Acknowledgment Statement. 7 ------------------------------------------------ ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- i ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, process as follow Mail to owner, ❑Mail to•contractor. ❑Telephone d hold for pickup at officeep Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TION A.P.#: W, J00 ^ to ZONING: (/l CONTRACTOR PRE -INSPECTION FOR DATE TO INSPECTOR %� l PERMIT HISTORY: IAS. FOLLOWS: TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT Description: ] Commercial/Usage: ] Residential/# of Units: ] Currently Occupied. ] AbandonedNacant. [ ]Yes [ ] No Electric is currently: [ ] On [ J Off Mobile Home: Yes[ ] No[ ] Condition of electrical? Natural [ ] Propane[ ] None[ ] Currently On[ J O$[ ] Obvious problems: ion: Plumbing working Yes[ ] No[ ]. Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: Recommended: [ sue [ ]Hold for: Date: ector: OWNER BUILDER INFORMATION Dear Property Owner: O.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than:your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or, subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER O.B.-1 .. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES z NO ❑ %2. I HAVE# HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: ' SOCIAL SECURITY NUMBER DATE: j —r-? L— 9'/7 NOTE. This Owner' -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.